SIMPLY DENTAL OF WORCESTER SOUTH PLLC (NPI# 1760049761) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760049761 |
| Entity Type | Organization |
| Organization Name | SIMPLY DENTAL OF WORCESTER SOUTH PLLC |
| Practice Address |
10 Winthrop Street Suite 200 Worcester MA 01604 |
| Mailing Address |
87 Elm St Hopkinton MA 01748-1638 |
| Practice Telephone | 5087560990 |
| Mailing Telephone | 5086867220 |
| Enumeration Date | 2019-05-24 |
| Last Update Date | 2019-05-24 |
| Authorized Official Name | DR. HOUSSAM ALKHOURY (OWNER) |
| Authorized Official Telephone | 5086867220 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| Other Name | Type Code |
|---|---|
| Fiorillo Dental | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508333915 | Simply Dental of Worcester South Pllc | Clinic/Center | 10 Winthrop St Ste 2, Worcester, MA 01604-4445 | 2018-10-24 |
| Street Address |
10 WINTHROP STREET SUITE 200 |
| City | WORCESTER |
| State | MA |
| Zip Code | 01604 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346202587 | Allergy & Respiratory Care PC | Internal Medicine | 10 Winthrop Street, Worcester, MA 01604-4435 | 2006-04-04 |
| 1548339344 | Lalit Savla | Psychiatry & Neurology | 10 Winthrop Street, Worcester, MA 01604 | 2006-11-07 |
| 1720176027 | Asha Garg | Physical Medicine & Rehabilitation | 10 Winthrop Street, Vernon Medical Center, Worcester, MA 01604 | 2006-10-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942839832 | Nicole Elizabeth Lewandrowski | Student in an Organized Health Care Education/Training Program | Pathology-1 Innovation Drive, Biotech 3, Worcester, MA 01604 | 2020-04-03 |
| 1285123034 | Sandra Jean Golden | Social Worker | 240 Belmont Street, Worcester, MA 01604 | 2018-05-08 |
| 1669961348 | Cindy Truong Choe | Behavior Technician | 330 Southwest Cutoff Suite 203, Worcester, MA 01604 | 2018-05-08 |
| 1013412915 | Michelle Marie Gaudet | Behavioral Analyst | 330 Southwest Cutoff, Suite 203, Worcester, MA 01604 | 2018-03-24 |
| 1104336593 | Younghwa Kim | Counselor | 2 Granite Street, Worcester, MA 01604 | 2017-10-11 |
| 1134640857 | Desiree Oquendo | Developmental Therapist | 43 Dillon Street, Worcester, MA 01604 | 2017-07-03 |
| 1457803686 | Reliable Home Care Services | Foster Care Agency | 35a Houghton Strret, Worcester, MA 01604 | 2016-11-04 |
| 1639530876 | Emily Capstick | Counselor | 81 Plantation Steet, Worcester, MA 01604 | 2016-03-16 |
| 1144696519 | Christian Caban I | Developmental Therapist | 25 Orient St, Worcester, MA 01604 | 2015-08-19 |
| 1750770160 | Ayanna Ortiz | Developmental Therapist | 16 Bangor St, Worcester, MA 01604 | 2015-01-22 |
| Find all providers in zip 01604 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477190502 | Simply Orthodontics and Pediatrics Worcester, Pllc | Dentist | 200 Lincoln St Ste 6, Worcester, MA 01605-2528 | 2019-12-09 |
| 1821645060 | Wave Dental Pllc | Dentist | 281 Shrewsbury St, Worcester, MA 01604-4623 | 2019-08-22 |
| 1700440658 | Evershine Dental Group PC | Dentist | 100 Mlk Jr Blvd Ste 100, Worcester, MA 01608-1209 | 2019-04-25 |
| 1891234183 | Union Dental Worcester LLC | Dentist | 101 Pleasant St Ste 2010, Worcester, MA 01609-3213 | 2017-02-20 |
| 1659739027 | Ke Dental, PC | Dentist | 64 Highland St, Worcester, MA 01609-2729 | 2016-02-01 |
| 1497139711 | Tarek Ali Elmajie | Dentist | 285 Plantation St Apt 303, Worcester, MA 01604-7707 | 2015-07-16 |
| 1518363118 | Bhavana Agadi Dmd LLC | Dentist | 1241 Main St Unit 8, Worcester, MA 01603-1842 | 2014-11-08 |
| 1912306135 | Neighborhood Dental Group, PC | Dentist | 111 Elm St Suite 203, Worcester, MA 01609 | 2014-08-14 |
| 1134538416 | Neighborhood Dental Group PC | Dentist | 111 Elm St Ste 203, Worcester, MA 01609-1967 | 2014-08-12 |
| 1457784407 | Mohamed Hazem Farid Elnazer | Dentist | 1438 Grafton St, Worcester, MA 01604-2721 | 2013-08-14 |
| Find all providers in WORCESTER | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.